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BRPI0904876A2 - flexible access channel surgical access device - Google Patents

flexible access channel surgical access device Download PDF

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Publication number
BRPI0904876A2
BRPI0904876A2 BRPI0904876-6A BRPI0904876A BRPI0904876A2 BR PI0904876 A2 BRPI0904876 A2 BR PI0904876A2 BR PI0904876 A BRPI0904876 A BR PI0904876A BR PI0904876 A2 BRPI0904876 A2 BR PI0904876A2
Authority
BR
Brazil
Prior art keywords
channel
instrument
housing
elongate
therethrough
Prior art date
Application number
BRPI0904876-6A
Other languages
Portuguese (pt)
Inventor
Christopher W Widenhouse
Frederick E Shelton Iv
Original Assignee
Ethicon Endo Surgery Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Ethicon Endo Surgery Inc filed Critical Ethicon Endo Surgery Inc
Publication of BRPI0904876A2 publication Critical patent/BRPI0904876A2/en
Publication of BRPI0904876B1 publication Critical patent/BRPI0904876B1/en
Publication of BRPI0904876B8 publication Critical patent/BRPI0904876B8/en

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3462—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/06—Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B17/3423—Access ports, e.g. toroid shape introducers for instruments or hands
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B17/3431—Cannulas being collapsible, e.g. made of thin flexible material
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3498—Valves therefor, e.g. flapper valves, slide valves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B2017/3445—Cannulas used as instrument channel for multiple instruments
    • A61B2017/3447—Linked multiple cannulas
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3462—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals
    • A61B2017/3466—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals for simultaneous sealing of multiple instruments

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Animal Behavior & Ethology (AREA)
  • Biomedical Technology (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Pathology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Pulmonology (AREA)
  • Anesthesiology (AREA)
  • Hematology (AREA)
  • Surgical Instruments (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Abstract

DISPOSITIVO DE ACESSO CIRúRGICO COM CANAL DE VEDAçãO FLEXìVEL. A presente invenção refere-se a um dispositivo de acesso cirúrgico, o qual inclui um alojamento dotado de pelo menos um orifício de acesso no mesmo para receber um instrumento cirúrgico através do mesmo, e pelo menos um canal de instrumento flexível alongado que se estende a partir do alojamento e dotado de um lúmen que se estende através do mesmo e em comunicação de fluido com o pelo menos um orifício de acesso no alojamento. O canal do instrumento é adaptado para se mover a partir de uma primeira configuração recolhida na qual o canal é vedado para substancialmente impedir que fluido flua através do mesmo para uma segunda configuração expandida com a inserção de um instrumento através do mesmo.SURGICAL ACCESS DEVICE WITH FLEXIBLE SEAL CHANNEL. The present invention relates to a surgical access device which includes a housing provided with at least one access hole therein to receive a surgical instrument therethrough, and at least one elongate flexible instrument channel extending to from the housing and provided with a lumen extending therethrough and in fluid communication with the at least one access hole in the housing. The instrument channel is adapted to move from a first retracted configuration in which the channel is sealed to substantially prevent fluid from flowing therethrough to a second expanded configuration by inserting an instrument therethrough.

Claims (27)

1. Dispositivo de acesso cirúrgico, compreendendo:um alojamento dotado de pelo menos um orifício de acesso nomesmo para receber um instrumento cirúrgico através do mesmo; epelo menos um canal de instrumento flexível alongado que seestende a partir do alojamento e dotado de um lúmen que se estende atra-vés do mesmo e em comunicação de fluido com o pelo menos um orifício deacesso no alojamento, o canal sendo adaptado para se mover a partir deurna primeira configuração recolhida, na qual o canal é vedado para subs-tancialmente impedir que fluido flua através do mesmo para uma segundaconfiguração expandida com a inserção de um instrumento através do mes-mo, o canal de instrumento alongado estando em um estado de repouso na-tural na primeira configuração recolhida.A surgical access device, comprising: a housing having at least one access port similar to receiving a surgical instrument therethrough; at least one elongate flexible instrument channel extending from the housing and provided with a lumen extending therethrough and in fluid communication with at least one access hole in the housing, the channel being adapted to move the from a first collapsed configuration, wherein the channel is sealed to substantially prevent fluid from flowing therethrough to a second expanded configuration by inserting an instrument through the same, the elongated instrument channel being in a rest state in the first configuration taken. 2. Dispositivo, de acordo com a reivindicação 1, em que o canalde instrumento alongado é torcido na primeira configuração recolhida e des-torcido na segunda configuração expandida.Device according to claim 1, wherein the elongate instrument channel is twisted in the first retracted configuration and distorted in the second expanded configuration. 3. Dispositivo, de acordo com a reivindicação 1, em que o canalde instrumento alongado é dotado de uma seção transversal substancial-mente plana na primeira configuração recolhida.Device according to claim 1, wherein the elongate instrument channel is provided with a substantially flat cross section in the first retracted configuration. 4. Dispositivo, de acordo com a reivindicação 1, em que o canalde instrumento alongado é longitudinalmente enrolado na primeira configu-ração recolhida e retilíneo na segunda configuração expandida.Device according to claim 1, wherein the elongate instrument channel is longitudinally wound in the first retracted and straight configuration in the second expanded configuration. 5. Dispositivo, de acordo com a reivindicação 1, em que o canalde instrumento alongado inclui pelo menos um elemento de vedação dispos-to no mesmo e configurado para formar a vedação em torno de um instru-mento inserido através do mesmo.Device according to claim 1, wherein the elongate instrument channel includes at least one sealing member disposed therein and configured to form the seal around an instrument inserted therethrough. 6. Dispositivo, de acordo com a reivindicação 1, em que o canalinclui pelo menos um elemento de enrijecimento que se estende longitudi-nalmente ao longo do mesmo e configurado para proporcionar resistêncialongitudinal ao canal para evitar inversão do canal e ainda permitir flexibili-dade radial do canal.The device of claim 1, wherein the channel includes at least one stiffening member extending longitudinally therethrough and configured to provide longitudinal resistance to the channel to prevent channel inversion while still allowing radial flexibility. of the channel. 7. Dispositivo, de acordo com a reivindicação 1, adicionalmentecompreendendo um retrator acoplado entre o alojamento e o canal do ins-trumento e incluindo uma abertura que se estende através do mesmo entreos primeiro e segundo flanges configurados para engatar tecido entre osmesmos.The device of claim 1 further comprising a retractor coupled between the housing and the instrument channel and including an opening extending therethrough between the first and second flanges configured to engage tissue between them. 8. Dispositivo, de acordo com a reivindicação 1, em que o aloja-mento inclui uma pluralidade de orifícios de acesso no mesmo.The device of claim 1, wherein the housing includes a plurality of access holes therein. 9. Dispositivo, de acordo com a reivindicação 8, em que cadaorifício de acesso é dotado de um canal de instrumento flexível alongadoque se estende a partir do mesmo.Device according to claim 8, wherein each access hole is provided with an elongate flexible instrument channel extending therefrom. 10. Dispositivo, de acordo com a reivindicação 1, em que o pelomenos um orifício de acesso inclui pelo menos uma vedação no mesmo econfigurado para formar pelo menos uma dentre uma vedação dentro doorifício de acesso quando nenhum instrumento é disposto no mesmo e umavedação em torno de um instrumento inserido através do mesmo.Device according to claim 1, wherein at least one access hole includes at least one seal therein and configured to form at least one of a seal within the access door when no instrument is disposed therein and a seal around it. of an instrument inserted through it. 11. Dispositivo, de acordo com a reivindicação 1, em que o canalde instrumento flexível alongado pode formar uma vedação em torno de ins-trumentos de diversos diâmetros.Device according to claim 1, wherein the elongated flexible instrument channel can form a seal around instruments of various diameters. 12. Dispositivo de acesso cirúrgico, compreendendo:um alojamento dotado de um orifício de acesso que se estendeatravés do mesmo para receber um instrumento cirúrgico; eum canal de instrumento flexível alongado que se estende a par-tir do alojamento e dotado de um lúmen interno que se estende longitudinal-mente através do mesmo e em comunicação com o orifício de acesso noalojamento, o lúmen interno incluindo pelo menos um elemento de enrijeci-mento que se estende longitudinalmente ao longo do canal e configuradopara proporcionar resistência longitudinal ao canal para evitar inversão docanal e ainda permitir flexibilidade radial do canal.A surgical access device, comprising: a housing having an access hole extending therethrough to receive a surgical instrument; an elongate flexible instrument channel extending from the housing and provided with an inner lumen extending longitudinally therethrough and in communication with the access hole in the housing, the inner lumen including at least one stiffening element It extends longitudinally along the channel and is configured to provide longitudinal resistance to the channel to prevent channel inversion while still allowing radial channel flexibility. 13. Dispositivo, de acordo com a reivindicação 12, em que o pelomenos um elemento de enrijecimento se estende a partir de uma extremida-de distai para uma extremidade proximal do canal de instrumento alongadoao longo do canal de instrumento alongado.The device of claim 12, wherein at least one stiffening member extends from a distal end to a proximal end of the elongate instrument channel along the elongate instrument channel. 14. Dispositivo, de acordo com a reivindicação 12, em que o pelomenos um elemento de enrijecimento é na forma de pelo menos uma carac-terística de superfície que se estende longitudinalmente.The device of claim 12, wherein at least one stiffening member is in the form of at least one longitudinally extending surface feature. 15. Dispositivo, de acordo com a reivindicação 12, em que o pelomenos um elemento de enrijecimento compreende pelo menos um fio.The device of claim 12, wherein at least one stiffening member comprises at least one yarn. 16. Dispositivo, de acordo com a reivindicação 12, em que o pelomenos um elemento de enrijecimento compreende pelo menos um mola dis-posta dentro de uma ranhura longitudinal formada no canal.The device of claim 12, wherein at least one stiffening member comprises at least one spring disposed within a longitudinal groove formed in the channel. 17. Dispositivo, de acordo com a reivindicação 12, em que o ca-nal de instrumento alongado é adaptado para se mover a partir de uma pri-meira configuração recolhida na qual o canal é vedado para substancialmen-te impedir que fluido flua através do mesmo para uma segunda configuraçãoexpandida com a inserção de um instrumento através do mesmo.Device according to claim 12, wherein the elongated instrument channel is adapted to move from a first retracted configuration in which the channel is sealed to substantially prevent fluid from flowing through the even for a second expanded configuration by inserting an instrument therethrough. 18. Dispositivo, de acordo com a reivindicação 12, adicionalmen-te compreendendo um retrator acoplado entre o alojamento e o canal do ins-trumento e incluindo uma abertura que se estende através do mesmo for-mando um trajeto através de tecido.The device of claim 12 further comprising a retractor coupled between the housing and the instrument channel and including an opening extending therethrough forming a path through tissue. 19. Dispositivo, de acordo com a reivindicação 12, em que o alo-jamento inclui uma pluralidade de orifícios de acesso no mesmo.The device of claim 12, wherein the housing includes a plurality of access holes therein. 20. Dispositivo, de acordo com a reivindicação 18, em que cadaorifício de acesso é dotado de um canal de instrumento flexível alongadoque se estende a partir do mesmo.The device of claim 18, wherein each access port is provided with an elongate flexible instrument channel extending therefrom. 21. Método para acessar uma cavidade corporal, compreendendo:formar um orifício de acesso através de tecido;posicionar um alojamento em uma superfície do tecido de modoque um canal de instrumento flexível alongado acoplado ao alojamento seestenda dentro da cavidade corporal; einserir um instrumento através de um orifício de acesso no alo-jamento e através do canal de instrumento alongado para mover o canal apartir de um estado de repouso natural na qual o canal está em uma primeiraconfiguração selada recolhida para uma segunda configuração expandida.A method for accessing a body cavity, comprising: forming a tissue access hole; positioning a housing on a tissue surface such that an elongate flexible instrument channel coupled to the housing extends within the body cavity; inserting an instrument through an access hole in the housing and through the elongate instrument channel to move the channel from a natural resting state in which the channel is in a first sealed configuration taken to a second expanded configuration. 22. Método, de acordo com a reivindicação 21, em que o canalde instrumento flexível alongado se destorce na medida em que o mesmo émovido para a segunda configuração expandida.The method of claim 21, wherein the elongate flexible instrument channel is distorted as it is moved to the second expanded configuration. 23. Método, de acordo com a reivindicação 21, em que o canalde instrumento flexível alongado se desenrola na medida em que o mesmo émovido para a segunda configuração expandida.The method of claim 21, wherein the elongate flexible instrument channel is unfolded as it is moved to the second expanded configuration. 24. Método, de acordo com a reivindicação 22, adicionalmentecompreendendo remover o instrumento a partir do canal, o canal se torce namedida em que o instrumento é removido.A method according to claim 22, further comprising removing the instrument from the channel, the channel twisting in which the instrument is removed. 25. Método, de acordo com a reivindicação 23, adicionalmentecompreendendo remover o instrumento a partir do canal, o canal enrola namedida em que o instrumento é removido.The method of claim 23, further comprising removing the instrument from the channel, the coiled channel in which the instrument is removed. 26. Método, de acordo com a reivindicação 21, em que o posi-cionamento do alojamento inclui posicionar um retrator flexível acoplado entre oalojamento e o canal no orifício de acesso no tecido para retrair o tecido.The method of claim 21, wherein the positioning of the housing includes positioning a flexible retractor coupled between the housing and the channel in the tissue access hole to retract the tissue. 27. Método, de acordo com a reivindicação 21, em que o instru-mento é inserido no segundo orifício de acesso no alojamento e através deum segundo canal de instrumento flexível alongado para mover o segundocanal de instrumento flexível alongado a partir de uma primeira configuraçãorecolhida, na qual o segundo canal de instrumento flexível alongado é veda-do para substancialmente impedir que fluido flua através do mesmo parauma segunda configuração expandida.The method of claim 21, wherein the instrument is inserted into the second access hole in the housing and through a second elongate flexible instrument channel to move the second elongate flexible instrument channel from a first retracted configuration; wherein the second elongate flexible instrument channel is sealed to substantially prevent fluid from flowing therethrough to a second expanded configuration.
BRPI0904876A 2008-09-30 2009-09-30 surgical access device BRPI0904876B8 (en)

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
US12/242,383 US8206294B2 (en) 2008-09-30 2008-09-30 Surgical access device with flexible seal channel

Publications (3)

Publication Number Publication Date
BRPI0904876A2 true BRPI0904876A2 (en) 2011-02-08
BRPI0904876B1 BRPI0904876B1 (en) 2019-11-05
BRPI0904876B8 BRPI0904876B8 (en) 2021-06-22

Family

ID=41466899

Family Applications (1)

Application Number Title Priority Date Filing Date
BRPI0904876A BRPI0904876B8 (en) 2008-09-30 2009-09-30 surgical access device

Country Status (9)

Country Link
US (1) US8206294B2 (en)
EP (1) EP2168510B1 (en)
JP (1) JP5566652B2 (en)
KR (1) KR20100036987A (en)
CN (1) CN101711694B (en)
AU (1) AU2009217474B2 (en)
BR (1) BRPI0904876B8 (en)
CA (1) CA2680916C (en)
MX (1) MX2009010636A (en)

Families Citing this family (178)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8357085B2 (en) 2009-03-31 2013-01-22 Ethicon Endo-Surgery, Inc. Devices and methods for providing access into a body cavity
US8425410B2 (en) * 2008-09-30 2013-04-23 Ethicon Endo-Surgery, Inc. Surgical access device with protective element
US8430811B2 (en) * 2008-09-30 2013-04-30 Ethicon Endo-Surgery, Inc. Multiple port surgical access device
US8961406B2 (en) 2009-03-06 2015-02-24 Ethicon Endo-Surgery, Inc. Surgical access devices and methods providing seal movement in predefined movement regions
US8485970B2 (en) 2008-09-30 2013-07-16 Ethicon Endo-Surgery, Inc. Surgical access device
WO2009035663A2 (en) * 2007-09-12 2009-03-19 Synecor, Llc Multi-instrument access devices and systems
WO2009111630A1 (en) * 2008-03-06 2009-09-11 Wilson-Cook Medical, Inc. Medical systems for accessing an internal bodily opening
EP2323569B1 (en) * 2008-05-15 2017-10-04 Cook Medical Technologies LLC Device for accessing a bodily opening
US8328761B2 (en) 2008-09-30 2012-12-11 Ethicon Endo-Surgery, Inc. Variable surgical access device
US20100113883A1 (en) * 2008-10-30 2010-05-06 Widenhouse Christopher W Surgical access port with adjustable ring geometry
US8267857B2 (en) * 2009-01-30 2012-09-18 Cook Medical Technologies Llc Expandable port for accessing a bodily opening
US20100249520A1 (en) 2009-03-31 2010-09-30 Shelton Iv Frederick E Method Of Surgical Access
US8257251B2 (en) * 2009-04-08 2012-09-04 Ethicon Endo-Surgery, Inc. Methods and devices for providing access into a body cavity
US8137267B2 (en) 2009-04-08 2012-03-20 Ethicon Endo-Surgery, Inc. Retractor with flexible sleeve
US8419635B2 (en) 2009-04-08 2013-04-16 Ethicon Endo-Surgery, Inc. Surgical access device having removable and replaceable components
US20100268162A1 (en) * 2009-04-15 2010-10-21 Ethicon Endo-Surgery, Inc. Cannula with sealing elements
US20100274093A1 (en) * 2009-04-22 2010-10-28 Ethicon Endo-Surgery, Inc. Methods and devices for identifying sealing port size
US8834361B2 (en) * 2009-05-15 2014-09-16 Cook Medical Technologies Llc Systems, devices and methods for accessing a bodily opening
US8795163B2 (en) * 2009-06-05 2014-08-05 Ethicon Endo-Surgery, Inc. Interlocking seal components
US8241209B2 (en) * 2009-06-05 2012-08-14 Ethicon Endo-Surgery, Inc. Active seal components
US8465422B2 (en) 2009-06-05 2013-06-18 Ethicon Endo-Surgery, Inc. Retractor with integrated wound closure
US9078695B2 (en) * 2009-06-05 2015-07-14 Ethicon Endo-Surgery, Inc. Methods and devices for accessing a body cavity using a surgical access device with modular seal components
US8361109B2 (en) * 2009-06-05 2013-01-29 Ethicon Endo-Surgery, Inc. Multi-planar obturator with foldable retractor
US8033995B2 (en) 2009-06-05 2011-10-11 Ethicon Endo-Surgery, Inc. Inflatable retractor with insufflation and method
US8475490B2 (en) * 2009-06-05 2013-07-02 Ethicon Endo-Surgery, Inc. Methods and devices for providing access through tissue to a surgical site
US8465476B2 (en) 2009-09-23 2013-06-18 Intuitive Surgical Operations, Inc. Cannula mounting fixture
US8545515B2 (en) 2009-09-23 2013-10-01 Intuitive Surgical Operations, Inc. Curved cannula surgical system
US8623028B2 (en) 2009-09-23 2014-01-07 Intuitive Surgical Operations, Inc. Surgical port feature
US20110071541A1 (en) 2009-09-23 2011-03-24 Intuitive Surgical, Inc. Curved cannula
US8888789B2 (en) 2009-09-23 2014-11-18 Intuitive Surgical Operations, Inc. Curved cannula surgical system control
US9339264B2 (en) 2010-10-01 2016-05-17 Cook Medical Technologies Llc Port access visualization platform
US20110082370A1 (en) * 2009-10-02 2011-04-07 Wilson-Cook Medical Inc. Endoscopic fascia tunneling
WO2011041669A1 (en) * 2009-10-02 2011-04-07 Wilson-Cook Medical, Inc. Apparatus for single port access
US8376938B2 (en) * 2009-11-20 2013-02-19 Ethicon Endo-Surgery, Inc. Discrete flexion head for single port device
US12121209B2 (en) 2014-02-11 2024-10-22 Cornell University Method and apparatus for providing increased visualization and manipulation of a body side wall
US9986893B2 (en) 2009-12-15 2018-06-05 Cornell University Method and apparatus for manipulating the side wall of a body lumen or body cavity so as to provide increased visualization of the same and/or increased access to the same, and/or for stabilizing instruments relative to the same
US11986150B2 (en) 2009-12-15 2024-05-21 Lumendi Ltd. Method and apparatus for manipulating the side wall of a body lumen or body cavity so as to provide increased visualization of the same and/or increased access to the same, and/or for stabilizing instruments relative to the same
US11877722B2 (en) 2009-12-15 2024-01-23 Cornell University Method and apparatus for manipulating the side wall of a body lumen or body cavity
CN102462517B (en) * 2010-11-17 2014-01-29 康健生医科技股份有限公司 Cannula device used in laparoscopic surgery
US9011324B2 (en) * 2010-11-24 2015-04-21 Covidien Lp Access assembly including one or more foldable caps
US8727974B2 (en) 2010-11-24 2014-05-20 Covidien Lp Access assembly including one or more compressible vents
US10420585B2 (en) 2011-02-16 2019-09-24 Reza Mohajer-Shojaee Laparoscopic cannula with suturing passage cutoff
US9033872B2 (en) * 2011-02-16 2015-05-19 Reza Mohajer-Shojaee Laparoscopic cannula with suturing capability
US8690834B2 (en) * 2011-04-22 2014-04-08 Cook Medical Technologies Llc Medical device with multi-port inflatable hemostatic valve system
EP3970784A1 (en) * 2012-01-10 2022-03-23 Board of Regents of the University of Nebraska Systems and devices for surgical access and insertion
JP6132484B2 (en) 2012-06-21 2017-05-24 オリンパス株式会社 Access port
EP2695581B1 (en) 2012-08-07 2019-03-13 Critical Innovations, LLC Device for simultaneously documenting and treating tension pneumothorax and/or hemothorax
US9360124B2 (en) 2013-03-15 2016-06-07 Cook Medical Technologies Llc Bi-directional valve device for selective control of fluid flow through multiple converging paths
WO2014144233A1 (en) * 2013-03-15 2014-09-18 Intuitive Surgical Operations, Inc. Rotating assistant port
US9662115B2 (en) * 2013-08-26 2017-05-30 Covidien Lp EEA abdominal access device
CN103598904A (en) * 2013-12-06 2014-02-26 魏云海 Incision retracting fixator suitable for single port laparoscopic surgery
US10046147B2 (en) 2013-12-26 2018-08-14 Critical Innovations, LLC Percutaneous access pathway system and method
EP3104925B1 (en) * 2014-02-11 2019-01-30 Cornell University Apparatus for manipulating the side wall of a body lumen or body cavity so as to provide increased visualization of the same and/or increased access to the same, and/or for stabilizing instruments relative to the same
CN103800078B (en) * 2014-02-28 2016-01-06 无锡市舒康医疗器械有限公司 Disposable incision protective sleeve
AU2015249652B2 (en) * 2014-04-23 2020-02-20 Applied Medical Resources Corporation Systems and methods for tissue removal
US9980813B2 (en) 2014-04-28 2018-05-29 Cook Medical Technologies Llc Selective fluid barrier valve device and method of treatment
EP3154448B1 (en) 2014-06-12 2019-08-28 Covidien LP Surgical stapling apparatus
US10405864B2 (en) 2014-07-04 2019-09-10 Covidien Lp Loading unit with shipping member for surgical stapling device
KR102602619B1 (en) * 2014-11-13 2023-11-16 어플라이드 메디컬 리소시스 코포레이션 Systems and methods for tissue removal
WO2016090594A1 (en) 2014-12-11 2016-06-16 Covidien Lp Surgical stapling loading unit
EP3229708B1 (en) 2014-12-11 2019-08-28 Covidien LP Stapler with automatic lockout mechanism
US10542985B2 (en) 2014-12-17 2020-01-28 Covidien Lp Surgical stapling device with firing indicator
CN205198048U (en) * 2015-01-12 2016-05-04 上海林超医疗设备科技有限公司 A utensil for setting up operation passageway
CN107249479B (en) 2015-02-15 2020-05-08 柯惠有限合伙公司 Surgical stapling device including firing indicator having unitary construction
US10542992B2 (en) 2015-10-19 2020-01-28 Covidien Lp Loading unit with stretchable bushing
US10973522B2 (en) 2015-10-20 2021-04-13 Covidien Lp Circular stapler with tissue gap indicator assembly
EP3364886B1 (en) 2015-10-21 2021-12-01 Covidien LP Annular knife for surgical stapler
US10413322B2 (en) * 2015-10-27 2019-09-17 Intai Technology Corp. Assembling surgical access device
US10512466B2 (en) 2015-11-05 2019-12-24 Covidien Lp Adapter assembly for surgical device
CN108289683B (en) 2015-11-13 2021-06-25 柯惠有限合伙公司 Circular stapler with audible indicator mechanism
CN108289684B (en) 2015-12-07 2021-08-31 柯惠有限合伙公司 Anvil Assembly and Delivery System
US10390835B2 (en) 2015-12-10 2019-08-27 Covidien Lp Surgical fastener apparatus with linear position sensor
JP6619103B2 (en) 2016-02-04 2019-12-11 コヴィディエン リミテッド パートナーシップ Circular stapler with visual indicator mechanism
US10603042B2 (en) 2016-02-10 2020-03-31 Covidien Lp Flexible circular stapler
US10595871B2 (en) 2016-05-10 2020-03-24 Covidien Lp Insertion instrument, adapter assemblies and protector assemblies for a flexible circular stapler
US11369450B2 (en) * 2016-05-20 2022-06-28 Intuitive Surgical Operations, Inc. Instrument drape
US11452522B2 (en) 2016-08-15 2022-09-27 Covidien Lp Circular stapling device with articulating anvil retainer assembly
CN106236210B (en) * 2016-08-31 2020-01-07 南方医科大学南方医院 A multi-channel single-hole endoscopic trocar
US10426470B2 (en) 2016-11-04 2019-10-01 Covidien Lp Stapling device with releasable knife carrier
US10499922B2 (en) 2016-11-04 2019-12-10 Covidien Lp Stapling device with self-releasing knife carrier pusher
US11241232B2 (en) 2017-01-24 2022-02-08 Covidien Lp Surgical stapling device with resettable anvil assembly
WO2018140066A1 (en) 2017-01-25 2018-08-02 Covidien Lp Circular stapling device and method of use
US10542993B2 (en) 2017-02-24 2020-01-28 Covidien Lp Anvil assembly of circular stapling device including alignment splines
WO2018161301A1 (en) 2017-03-09 2018-09-13 Covidien Lp End effector assembly for circular stapler apparatus
US11382629B2 (en) 2017-03-09 2022-07-12 Covidien Lp Surgical stapling device with audible indicator mechanism
CN110461253B (en) 2017-03-23 2023-03-10 柯惠有限合伙公司 Circular suturing device with aligned splines
US10342534B2 (en) 2017-03-23 2019-07-09 Covidien Lp Surgical stapling device with releasable knife carrier
US10881409B2 (en) 2017-05-02 2021-01-05 Covidien Lp Rotation assembly for a surgical device
US10932784B2 (en) 2017-06-09 2021-03-02 Covidien Lp Handheld electromechanical surgical system
US11045199B2 (en) 2017-06-09 2021-06-29 Covidien Lp Handheld electromechanical surgical system
US11596400B2 (en) 2017-06-09 2023-03-07 Covidien Lp Handheld electromechanical surgical system
US10987107B2 (en) 2017-07-05 2021-04-27 Covidien Lp Surgical stapling device
US11090054B2 (en) 2017-08-07 2021-08-17 Covidien Lp Stapling device with resettable tilt anvil assembly
US10828026B2 (en) 2017-08-08 2020-11-10 Covidien Lp Tiltable anvil assembly
US10695069B2 (en) 2017-08-23 2020-06-30 Covidien Lp Circular stapling device with offset spline tip
WO2019041315A1 (en) 2017-09-01 2019-03-07 Covidien Lp Circular stapling device with position ribs
US10814119B2 (en) 2017-09-22 2020-10-27 Critical Innovations, LLC Percutaneous access pathway system
US11324507B2 (en) 2017-11-03 2022-05-10 Covidien Lp Device and method for attachment of a stomal sleeve
US11497501B2 (en) 2018-03-26 2022-11-15 Covidien Lp Circular stapling device with A-frame splines
US10952734B2 (en) 2018-04-23 2021-03-23 Covidien Lp Stapling device with cut ring biasing member
CN108523946B (en) * 2018-05-10 2023-10-13 苏州法兰克曼医疗器械有限公司 Angle-adjustable channel device for minimally invasive surgery
US11197676B2 (en) 2018-06-28 2021-12-14 Covidien Lp Tie-down method for anvil assembly delivery system
US11241234B2 (en) 2018-08-14 2022-02-08 Covidien Lp Anvil assembly with self-retaining backup member
US11564691B2 (en) 2018-08-24 2023-01-31 Covidien Lp Powered circular stapling device
US10973544B2 (en) 2018-10-02 2021-04-13 Covidien Lp Retaining mechanism for trocar assembly
EP4238505B8 (en) * 2018-10-04 2025-08-20 CONMED Corporation Removable, adjustable-length, snap-in portal saver, decoupled from dermal fixation
US11141163B2 (en) 2018-10-04 2021-10-12 Covidien Lp Circular stapling device with anvil rotation locking structure
US11065005B2 (en) 2018-11-07 2021-07-20 Covidien Lp Reload assembly for a circular stapling device
US11147561B2 (en) 2018-11-28 2021-10-19 Covidien Lp Reload assembly for a circular stapling device
US11389263B2 (en) 2018-12-13 2022-07-19 Covidien Lp Lockout mechanisms for surgical instruments
US11166728B2 (en) 2019-02-08 2021-11-09 Covidien Lp Reload assembly for a circular stapling device
US11529144B2 (en) 2019-02-22 2022-12-20 Covidien Lp Encapsulated plug assembly for electromechanical surgical devices
US11547411B2 (en) 2019-02-22 2023-01-10 Covidien Lp Anastomosis wound protector
US11331782B2 (en) 2019-03-01 2022-05-17 Covidien Lp Reload assembly for a circular stapling device
US11337701B2 (en) 2019-03-01 2022-05-24 Covidien Lp Devices and methods for assembling adapter assemblies
US11457921B2 (en) 2019-03-26 2022-10-04 Covidien Lp Anvil assembly for surgical stapling instrument
US11534164B2 (en) 2019-04-05 2022-12-27 Covidien Lp Strain gauge stabilization in a surgical device
US11596410B2 (en) 2019-04-05 2023-03-07 Covidien Lp Surgical stapling device
US11660116B2 (en) 2019-04-16 2023-05-30 Covidien Lp Trocar assemblies for adapter assemblies for surgical stapling instruments
US11344330B2 (en) 2019-04-16 2022-05-31 Covidien Lp Trocar assemblies for adapter assemblies for surgical stapling instruments
US11419631B2 (en) 2019-04-16 2022-08-23 Covidien Lp Trocar assemblies for adapter assemblies for surgical stapling instruments
US11317945B2 (en) 2019-04-16 2022-05-03 Covidien Lp Trocar assemblies for adapter assemblies for surgical stapling instruments
US11839378B2 (en) 2019-04-19 2023-12-12 Covidien Lp Circular stapling instruments
US11399838B2 (en) 2019-04-22 2022-08-02 Covidien Lp Reload assembly for circular stapling devices
US11246599B2 (en) 2019-04-25 2022-02-15 Covidien Lp End effector for circular stapling instrument
WO2020237631A1 (en) 2019-05-31 2020-12-03 Covidien Lp Circular stapling device
US11690624B2 (en) 2019-06-21 2023-07-04 Covidien Lp Reload assembly injection molded strain gauge
US11357509B2 (en) 2019-07-11 2022-06-14 Covidien Lp Reload assembly for a circular stapling device
US11192227B2 (en) 2019-07-16 2021-12-07 Covidien Lp Reload assembly for circular stapling devices
US11529186B2 (en) 2019-07-22 2022-12-20 Covidien Lp Electrosurgical forceps including thermal cutting element
US11510662B2 (en) 2019-07-24 2022-11-29 Covidien Lp Free standing bag with integrated cutting guard interface
US11464510B2 (en) 2019-07-26 2022-10-11 Covidien Lp Reload assembly with knife carrier lockout
US11253255B2 (en) 2019-07-26 2022-02-22 Covidien Lp Knife lockout wedge
US11399825B2 (en) 2019-10-28 2022-08-02 Covidien Lp Reload assembly with knife carrier lockout
US11553918B2 (en) 2019-12-16 2023-01-17 Covidien Lp Reload assembly with knife carrier lockout
US11730481B2 (en) 2020-01-06 2023-08-22 Covidien Lp Assemblies for retaining a trocar assembly
US11517317B2 (en) 2020-01-06 2022-12-06 Covidien Lp Trocar release assemblies for a surgical stapler
US11911038B2 (en) 2020-01-13 2024-02-27 Covidien Lp Cut optimization for excessive tissue conditions
US11523828B2 (en) 2020-01-28 2022-12-13 Covidien Lp Sealed reload assembly for stapling device
US11622767B2 (en) 2020-02-19 2023-04-11 Covidien Lp Sealed trocar assembly for stapling device
US11364051B2 (en) 2020-02-20 2022-06-21 Covidien Lp Cutting guard
US11547438B2 (en) 2020-02-24 2023-01-10 Covidien Lp Tip protector for ensuring trocar insertion
US11382630B2 (en) 2020-02-25 2022-07-12 Covidien Lp Surgical stapling device with two part knife assembly
US11779343B2 (en) 2020-02-26 2023-10-10 Covidien Lp Staple reload assembly with releasable knife
US11298152B2 (en) 2020-02-28 2022-04-12 Covidien Lp Trocar retaining mechanism including band support
US11272998B2 (en) 2020-03-04 2022-03-15 Covidien Lp Strain gage fixation in tension
US11426169B2 (en) 2020-03-24 2022-08-30 Covidien Lp Retaining mechanisms for trocar assemblies
US11426170B2 (en) 2020-03-24 2022-08-30 Covidien Lp Retaining mechanisms for trocar assemblies
US11350939B2 (en) 2020-03-24 2022-06-07 Covidien Lp Retaining mechanisms for trocar assemblies
US11653925B2 (en) 2020-05-21 2023-05-23 Covidien Lp Tissue relaxation monitoring for optimized tissue stapling
US11547405B2 (en) 2020-05-22 2023-01-10 Covidien Lp Surgical stapling device
US11553921B2 (en) 2020-07-15 2023-01-17 Covidien Lp Surgical stapling device with flexible shaft
US11547412B2 (en) 2020-07-22 2023-01-10 Covidien Lp Surgical instruments and methods of assembly
US11877744B2 (en) 2020-08-14 2024-01-23 Covidien Lp Low-cost powered stapler with end stop selection
US11627966B2 (en) 2020-08-26 2023-04-18 Covidien Lp Surgical stapling device
US11801054B2 (en) 2020-09-22 2023-10-31 Covidien Lp Surgical stapler with oval tool assembly
US11712509B2 (en) 2020-10-02 2023-08-01 Covidien Lp Seal assembly for circular stapling instrument
US20220133352A1 (en) * 2020-10-29 2022-05-05 Intuitive Surgical Operations, Inc. Instrument access device with integrated task lighting
WO2022104262A1 (en) 2020-11-16 2022-05-19 Lumendi Ltd. Methods and apparatus for inverting a hollow sleeve and thereafter reverting an inverted hollow sleeve
US11627967B2 (en) 2020-11-23 2023-04-18 Covidien Lp Trans-anastomotic insertion device
US12310591B2 (en) 2020-12-15 2025-05-27 Covidien Lp Surgical stapling device with flexible shaft
US11877750B2 (en) 2021-01-21 2024-01-23 Covidien Lp Surgical stapler with powered and manual functions
US11986187B2 (en) 2021-01-29 2024-05-21 Covidien Lp Circular stapling device with integrated visualization device
US12048472B2 (en) 2021-02-01 2024-07-30 Covidien Lp Electrosurgical instruments, jaw members thereof, and methods of manufacturing
US11786241B2 (en) 2021-02-16 2023-10-17 Covidien Lp Surgical stapling device including a hydraulic staple formation mechanism
US11553920B2 (en) 2021-05-03 2023-01-17 Covidien Lp Trocar retainer assembly for surgical stapler
US11490894B1 (en) 2021-05-12 2022-11-08 Covidien Lp Surgical device with grease filter
US11642131B2 (en) 2021-05-17 2023-05-09 Covidien Lp Devices and methods for shortening a rectal stump during a lower anterior resection procedure
US11612400B2 (en) 2021-05-24 2023-03-28 Covidien Lp Trocar assembly with bearing assembly for load sharing
WO2022246600A1 (en) 2021-05-24 2022-12-01 Covidien Lp Anvil and delivery system assembly with automatic retaining suture release
EP4351438A4 (en) 2021-06-09 2025-01-15 Covidien LP RETRACTABLE TROCAR FOR CIRCULAR STAPLER INSTRUMENTS
US11737759B2 (en) 2021-08-05 2023-08-29 Covidien Lp Surgical stapling device accommodating prolapsed tissue
US11744592B2 (en) 2021-08-05 2023-09-05 Covidien Lp Handheld electromechanical stapler with tissue thickness detection
US11819208B2 (en) 2021-08-05 2023-11-21 Covidien Lp Handheld electromechanical surgical device with strain gauge drift detection
US11883028B2 (en) 2021-09-08 2024-01-30 Covidien Lp Systems and methods for post-operative anastomotic leak detection
US11717299B2 (en) 2021-10-12 2023-08-08 Covidien Lp Surgical stapling device with probiotics
US12213674B2 (en) 2021-12-08 2025-02-04 Covidien Lp Determination of premature staple ejection
WO2024229434A2 (en) * 2023-05-03 2024-11-07 Fenestra Medical Technologies, Inc. Devices, systems, and methods for monitoring and treating diseases

Family Cites Families (153)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US2129391A (en) * 1936-04-09 1938-09-06 Wappler Frederick Charles Endoscopic instrument
US3654965A (en) * 1967-06-23 1972-04-11 Pneumatiques Caoutchouc Mfg Closure members for pipe sections
US4112932A (en) * 1977-02-24 1978-09-12 Chiulli Robert D Laparoscopic cannula
CA1139176A (en) 1980-07-11 1983-01-11 Micheal Ivan Re-entrant cannula device
US4417888A (en) 1982-03-15 1983-11-29 Renal Systems, Inc. Percutaneous implant
US4402683A (en) * 1981-12-28 1983-09-06 Kopman Ercument A Cannula introducer
US5308336A (en) * 1982-09-28 1994-05-03 Applied Medical Resources Seal protection mechanism
US4795426A (en) * 1987-04-02 1989-01-03 Solutech, Inc. Catheter introducing device and method of placing catheter
US5676657A (en) 1990-07-26 1997-10-14 Yoon; Inbae Endoscopic portal having multiluminal trumpet valve
US5990382A (en) 1990-08-29 1999-11-23 Biomedical Enterprises, Inc. Method and implant for surgical manipulation of bone
US5207213A (en) * 1991-02-01 1993-05-04 Circon Corporation Laparoscope having means for removing image impeding material from a distal lens
US5183464A (en) * 1991-05-17 1993-02-02 Interventional Thermodynamics, Inc. Radially expandable dilator
US5209741A (en) * 1991-07-08 1993-05-11 Endomedix Corporation Surgical access device having variable post-insertion cross-sectional geometry
US5385553A (en) * 1991-07-18 1995-01-31 Applied Medical Resources Corporation Trocar with floating septum seal
GR920100358A (en) * 1991-08-23 1993-06-07 Ethicon Inc Surgical anastomosis stapling instrument.
US5197955A (en) * 1991-10-18 1993-03-30 Ethicon, Inc. Universal seal for trocar assembly
US5269772A (en) 1992-01-24 1993-12-14 Wilk Peter J Laparoscopic cannula assembly and associated method
US5183471A (en) * 1992-01-24 1993-02-02 Wilk Peter J Laparoscopic cannula
CA2095064A1 (en) 1992-05-01 1993-11-02 Stephen J. Failla Sealing mechanism for surgical trocar
US5443484A (en) * 1992-06-16 1995-08-22 Loma Linda University Medical Center Trocar and method for endoscopic surgery
US5443452A (en) * 1992-07-02 1995-08-22 Applied Medical Resources Seal assembly for access device
US5395367A (en) * 1992-07-29 1995-03-07 Wilk; Peter J. Laparoscopic instrument with bendable shaft and removable actuator
DE4234452C2 (en) * 1992-10-13 1994-08-18 Ethicon Gmbh Reducer for trocar sleeves
US5320611A (en) * 1993-02-04 1994-06-14 Peter M. Bonutti Expandable cannula having longitudinal wire and method of use
US6338730B1 (en) * 1993-02-04 2002-01-15 Peter M. Bonutti Method of using expandable cannula
US5814058A (en) * 1993-03-05 1998-09-29 Innerdyne, Inc. Method and apparatus employing conformable sleeve for providing percutaneous access
US5431676A (en) * 1993-03-05 1995-07-11 Innerdyne Medical, Inc. Trocar system having expandable port
US5492304A (en) * 1993-06-16 1996-02-20 United States Surgical Corporation Seal assembly for accommodating introduction of surgical instruments
US5366478A (en) 1993-07-27 1994-11-22 Ethicon, Inc. Endoscopic surgical sealing device
US5391154A (en) * 1993-08-30 1995-02-21 United States Surgical Corporation Trocar seal system
JP3556670B2 (en) 1993-09-06 2004-08-18 アトロポス・リミテッド Equipment used for surgery
FR2710270B1 (en) 1993-09-24 1997-05-09 Jean Claude Sgro Device for the introduction of instruments into a trocar for surgical stopping.
SE9303253D0 (en) 1993-10-05 1993-10-05 Siemens Elema Ab Instruments for peephole surgery
US5480410A (en) * 1994-03-14 1996-01-02 Advanced Surgical, Inc. Extracorporeal pneumoperitoneum access bubble
US6162196A (en) 1994-07-14 2000-12-19 Applied Medical Resources Corporation Multiport access device
US5569205A (en) * 1994-07-14 1996-10-29 Hart; Charles C. Multiport trocar
JP3250379B2 (en) * 1994-07-18 2002-01-28 株式会社八幡光雲堂 Blowback
JP2802244B2 (en) 1994-08-29 1998-09-24 オリンパス光学工業株式会社 Endoscope sheath
US5653705A (en) * 1994-10-07 1997-08-05 General Surgical Innovations, Inc. Laparoscopic access port for surgical instruments or the hand
US5672168A (en) * 1994-10-07 1997-09-30 De La Torre; Roger A. Laparoscopic access port for surgical instruments or the hand
AU4763296A (en) * 1995-02-03 1996-08-21 Inbae Yoon Cannula with distal end valve
US5569254A (en) 1995-04-12 1996-10-29 Midas Rex Pneumatic Tools, Inc. Surgical resection tool having an irrigation, lighting, suction and vision attachment
US5634937A (en) * 1995-05-19 1997-06-03 General Surgical Innovations, Inc. Skin seal with inflatable membrane
US5634911A (en) * 1995-05-19 1997-06-03 General Surgical Innovations, Inc. Screw-type skin seal with inflatable membrane
US5997515A (en) 1995-05-19 1999-12-07 General Surgical Innovations, Inc. Screw-type skin seal with inflatable membrane
US5584850A (en) 1995-05-25 1996-12-17 Applied Medical Resources Corporation Trocar having an anti-inversion seal
US5643301A (en) * 1995-06-07 1997-07-01 General Surgical Innovations, Inc. Cannula assembly with squeeze operated valve
US6605063B2 (en) * 1998-09-21 2003-08-12 Gerald G. Bousquet Transcutaneous access device
US5545179A (en) * 1995-07-21 1996-08-13 Ethicon Endo-Surgery, Inc. Endoscopic access assembly
US5662615A (en) * 1995-09-01 1997-09-02 Blake, Iii; Joseph W. Valve and valve cartridge for trocar
CA2231336A1 (en) * 1995-09-21 1997-03-27 Bradford L. Buck Tension responsive pinch valve
US5891013A (en) * 1996-02-07 1999-04-06 Pinotage, Llc System for single-puncture endoscopic surgery
WO1997042889A1 (en) * 1996-05-10 1997-11-20 Emmanuil Giannadakis System of laparoscopic-endoscopic surgery
US5827319A (en) 1996-05-20 1998-10-27 Innerdyne, Inc. Radially expandable access system having disposable and reusable components
US5820606A (en) * 1996-06-11 1998-10-13 Origin Medsystems, Inc. Reusable cannula with disposable seal
US5972020A (en) * 1997-02-14 1999-10-26 Cardiothoracic Systems, Inc. Surgical instrument for cardiac valve repair on the beating heart
US5906577A (en) * 1997-04-30 1999-05-25 University Of Massachusetts Device, surgical access port, and method of retracting an incision into an opening and providing a channel through the incision
DE69832291T2 (en) * 1997-05-02 2006-07-13 United States Surgical Corp., Norwalk SEALING SYSTEM FOR TROCAR
US6066090A (en) * 1997-06-19 2000-05-23 Yoon; Inbae Branched endoscope system
US6099506A (en) 1997-09-26 2000-08-08 Macoviak; John A. Introducer and perfusion cannula
US6589167B1 (en) * 1997-10-08 2003-07-08 Hakko Electric Machine Works Co., Ltd. Valve and valved trocar jacket tube
US6004303A (en) 1997-12-10 1999-12-21 Phillips Plastics Corporation Choker catheter
US6277064B1 (en) * 1997-12-30 2001-08-21 Inbae Yoon Surgical instrument with rotatably mounted offset endoscope
US6120513A (en) * 1998-01-09 2000-09-19 Bailey; Robert W. Laparoscopic surgery instrumentation and method of its use
US5989224A (en) * 1998-02-23 1999-11-23 Dexide Corporation Universal seal for use with endoscopic cannula
JP3019150B2 (en) * 1998-04-07 2000-03-13 株式会社八光メディカル Trocar mantle with valve
DE69937558T2 (en) 1998-06-03 2008-03-06 Scott Laboratories, Inc., Lubbock APPARATUS FOR AFFECTING PAIN IN AWARENESS AND FEARING STATE IN CONNECTION WITH MEDICAL AND SURGICAL PROCEDURES
US6245052B1 (en) * 1998-07-08 2001-06-12 Innerdyne, Inc. Methods, systems, and kits for implanting articles
US6352503B1 (en) * 1998-07-17 2002-03-05 Olympus Optical Co., Ltd. Endoscopic surgery apparatus
US7344547B2 (en) * 1998-09-15 2008-03-18 Phavel Systems, Inc. Laparoscopic instruments and trocar systems and related surgical method
US6454783B1 (en) * 1998-09-15 2002-09-24 Gregory Piskun Laparoscopic instruments and trocar systems for trans-umbilical laproscopic surgery
US20050192483A1 (en) * 1998-12-01 2005-09-01 Frank Bonadio Device
DE69920744T2 (en) 1998-12-01 2005-10-13 Atropos Ltd., Bray Laparoscopic sealed access device
US8177762B2 (en) 1998-12-07 2012-05-15 C. R. Bard, Inc. Septum including at least one identifiable feature, access ports including same, and related methods
US6086603A (en) * 1998-12-14 2000-07-11 Syntheon, Llc Luminal port device having internal and external sealing mechanisms
IES990219A2 (en) 1999-03-18 2000-11-15 Gaya Ltd A surgical device
IES990220A2 (en) 1999-03-18 2000-11-15 Gaya Ltd A surgical device
IES990218A2 (en) * 1999-03-18 2000-11-15 Gaya Ltd A surgical device
US6328730B1 (en) 1999-03-26 2001-12-11 William W. Harkrider, Jr. Endoluminal multi-luminal surgical sheath and method
DE19935725C2 (en) 1999-07-29 2003-11-13 Wolf Gmbh Richard Medical instrument, especially a rectoscope
IE990795A1 (en) * 1999-07-30 2001-03-07 Gaya Ltd Hand Access Port Device
US6706033B1 (en) * 1999-08-02 2004-03-16 Edwards Lifesciences Corporation Modular access port for device delivery
US6447489B1 (en) * 2000-01-18 2002-09-10 Ethicon Endo-Surgey, Inc. Laparoscopic access tool with gas seal
US6440061B1 (en) * 2000-03-24 2002-08-27 Donald E. Wenner Laparoscopic instrument system for real-time biliary exploration and stone removal
US20040230160A1 (en) 2000-06-22 2004-11-18 Erblan Surgical Inc. Safety trocar including sealing member
US6551270B1 (en) * 2000-08-30 2003-04-22 Snowden Pencer, Inc. Dual lumen access port
DE10050648C2 (en) * 2000-10-12 2003-11-06 Fraunhofer Ges Forschung Surgical instrument
US20060020281A1 (en) * 2000-10-13 2006-01-26 Smith Robert C Valve assembly including diameter reduction structure for trocar
CA2422782C (en) * 2000-10-19 2012-02-07 Applied Medical Resources Corporation Surgical access apparatus and method
US6939296B2 (en) * 2001-10-17 2005-09-06 Applied Medical Resources Corp. Laparoscopic illumination apparatus and method
US7052454B2 (en) * 2001-10-20 2006-05-30 Applied Medical Resources Corporation Sealed surgical access device
CA2466929A1 (en) 2001-11-13 2003-05-30 Applied Medical Resources Corporation Multi-seal trocar system
US7235062B2 (en) * 2002-01-24 2007-06-26 Applied Medical Resources Corporation Surgical access device with floating gel seal
DE10214552A1 (en) 2002-04-02 2003-10-16 Pajunk Ohg Besitzverwaltung trocar
WO2004011677A2 (en) * 2002-07-26 2004-02-05 Animal Health Trust Viral marker
US7083626B2 (en) 2002-10-04 2006-08-01 Applied Medical Resources Corporation Surgical access device with pendent valve
US7390317B2 (en) * 2002-12-02 2008-06-24 Applied Medical Resources Corporation Universal access seal
KR100639639B1 (en) * 2003-01-23 2006-11-01 전남대학교산학협력단 Networked silica for enhancing tensile strength of rubber compound
US20050020884A1 (en) * 2003-02-25 2005-01-27 Hart Charles C. Surgical access system
WO2004075730A2 (en) 2003-02-25 2004-09-10 Applied Medical Resources Corporation Sealed surgical access device
US20040199181A1 (en) 2003-04-02 2004-10-07 Knodel Bryan D. Surgical device for anastomosis
US7338473B2 (en) * 2003-04-08 2008-03-04 Surgiquest, Incorporated Pneumoseal trocar arrangement
US7285112B2 (en) * 2003-04-08 2007-10-23 Surgiquest, Incorporated Gas flow trocar arrangement
US7591832B2 (en) * 2003-04-24 2009-09-22 Medtronic, Inc. Expandable guide sheath and apparatus with distal protection and methods for use
US7153261B2 (en) 2003-04-25 2006-12-26 Tyco Healthcare Group Lp Surgical hand access apparatus
WO2005018466A2 (en) 2003-08-26 2005-03-03 Endius, Inc. Access systems and methods for minimally invasive surgery
US7163510B2 (en) * 2003-09-17 2007-01-16 Applied Medical Resources Corporation Surgical instrument access device
US7753901B2 (en) 2004-07-21 2010-07-13 Tyco Healthcare Group Lp Laparoscopic instrument and cannula assembly and related surgical method
US6905057B2 (en) * 2003-09-29 2005-06-14 Ethicon Endo-Surgery, Inc. Surgical stapling instrument incorporating a firing mechanism having a linked rack transmission
US20050148823A1 (en) * 2003-10-15 2005-07-07 Trevor Vaugh Surgical sealing device
US20050155611A1 (en) * 2003-11-05 2005-07-21 Trevor Vaugh Surgical sealing device
US20050137609A1 (en) * 2003-12-17 2005-06-23 Gerald Guiraudon Universal cardiac introducer
WO2005087112A1 (en) 2004-03-12 2005-09-22 The New Industry Research Organization Finger assisted access device for laparoscopic operation
US7118528B1 (en) 2004-03-16 2006-10-10 Gregory Piskun Hemorrhoids treatment method and associated instrument assembly including anoscope and cofunctioning tissue occlusion device
US8100822B2 (en) 2004-03-16 2012-01-24 Macroplata Systems, Llc Anoscope for treating hemorrhoids without the trauma of cutting or the use of an endoscope
US20050209608A1 (en) * 2004-03-22 2005-09-22 O'heeron Peter T Trocar seal
CA2560158C (en) 2004-04-05 2014-06-17 Tyco Healthcare Group Lp Surgical hand access apparatus
CA2560154C (en) * 2004-04-05 2013-06-25 Tyco Healthcare Group Lp Surgical hand access apparatus
US20050277946A1 (en) 2004-06-15 2005-12-15 Secant Medical, Llc Access port for laparoscopic surgery
US20060019723A1 (en) * 2004-06-29 2006-01-26 Pieter Vorenkamp Automatic control of power save operation in a portable communication device utilizing historical usage information
US7018287B2 (en) * 2004-07-22 2006-03-28 Minel Kupferberg High velocity and high dilution exhaust system
US20060071432A1 (en) * 2004-09-29 2006-04-06 Staudner Rupert A Seal for trocar
CA2582929A1 (en) 2004-09-30 2006-04-06 Duocure, Inc. Device and method for treating weight disorders
US20060212062A1 (en) 2005-03-16 2006-09-21 David Farascioni Radially expandable access system including trocar seal
US20070049966A1 (en) * 2005-03-22 2007-03-01 Frank Bonadio Surgical instrument
US7766824B2 (en) 2005-03-31 2010-08-03 Tyco Healthcare Group Lp Surgical hand access apparatus
US7837612B2 (en) 2005-04-08 2010-11-23 Ethicon Endo-Surgery, Inc. Tissue suspension device
US20060270978A1 (en) 2005-04-08 2006-11-30 Ken Binmoeller Expandable esophageal access device
US20060241671A1 (en) 2005-04-20 2006-10-26 Stout Medical Group, Llc Self-sealing surgical access port
US20060241651A1 (en) 2005-04-22 2006-10-26 Wilk Patent, Llc Surgical port device and associated method
DE102005026467A1 (en) 2005-06-09 2006-12-14 University Of Dundee Apparatus for providing transcutaneous access to an endoscopic surgical field
US20070060939A1 (en) * 2005-09-02 2007-03-15 Zimmer Spine, Inc. Expandable and retractable cannula
EP1933733A2 (en) * 2005-10-14 2008-06-25 Applied Medical Resources Corporation Surgical access port
CA2625730C (en) * 2005-10-14 2015-04-14 Applied Medical Resources Corporation Split hoop wound retractor with gel pad
US20070118021A1 (en) * 2005-11-22 2007-05-24 Pokorney James L Anatomical cavity implant transport device and method
US9820771B2 (en) 2006-03-03 2017-11-21 Axcess Instruments Inc. Apparatus and method for minimally invasive surgery
JP4344734B2 (en) * 2006-03-15 2009-10-14 株式会社八光 Medical treatment instrument insertion port
US8485970B2 (en) 2008-09-30 2013-07-16 Ethicon Endo-Surgery, Inc. Surgical access device
US20100081864A1 (en) 2008-09-30 2010-04-01 Ethicon Endo-Surgery, Inc. Methods and devices for performing gastrectomies and gastroplasties
US20070255219A1 (en) 2006-04-19 2007-11-01 Trevor Vaugh Instrument access device
US20070260273A1 (en) 2006-05-08 2007-11-08 Ethicon Endo-Surgery, Inc. Endoscopic Translumenal Surgical Systems
US20070260121A1 (en) 2006-05-08 2007-11-08 Ethicon Endo-Surgery, Inc. Endoscopic Translumenal Surgical Systems
JP4148973B2 (en) 2006-08-07 2008-09-10 アプライド メディカル リソーシーズ コーポレイション Hermetic surgical access device
JP5235017B2 (en) 2006-08-25 2013-07-10 テレフレックス メディカル インコーポレイテッド Floating seal device with frame
GB2441501A (en) * 2006-09-07 2008-03-12 Gyrus Medical Ltd Surgical instrument with sealing mechanism to retain pressurised gas
US20080119821A1 (en) * 2006-11-17 2008-05-22 Warsaw Orthopedic, Inc. Multiport Cannula
US8652154B2 (en) * 2006-12-28 2014-02-18 Orthovita, Inc. Non-resorbable implantable guides
US20100063364A1 (en) 2007-02-01 2010-03-11 Frank Bonadio Instrument insertion device
JP2010518901A (en) * 2007-02-20 2010-06-03 タイコ ヘルスケア グループ リミテッド パートナーシップ Flexible cannula with seal
US8002786B2 (en) 2007-03-09 2011-08-23 Ethicon Endo-Surgery, Inc. Hand assisted laparoscopic seal assembly with deflection feature
JP5506660B2 (en) 2007-03-30 2014-05-28 コヴィディエン リミテッド パートナーシップ Laparoscopic port assembly
EP2152175B1 (en) 2007-06-05 2015-10-28 Atropos Limited An instrument access device
US8403889B2 (en) * 2008-06-25 2013-03-26 Covidien Lp Access assembly

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CN101711694B (en) 2014-07-16
CA2680916C (en) 2017-06-27
EP2168510B1 (en) 2012-12-12
AU2009217474A1 (en) 2010-04-15
JP2010082447A (en) 2010-04-15
JP5566652B2 (en) 2014-08-06
BRPI0904876B1 (en) 2019-11-05
KR20100036987A (en) 2010-04-08
BRPI0904876B8 (en) 2021-06-22
EP2168510A1 (en) 2010-03-31
CN101711694A (en) 2010-05-26
MX2009010636A (en) 2010-04-29
US20100081871A1 (en) 2010-04-01
US8206294B2 (en) 2012-06-26
CA2680916A1 (en) 2010-03-30

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